Organization
SANTA ADELINA MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE VELAZQUEZ PA-C (PRESIDENT)
(626) 812-9733
Entity
Organization
Contact information
Practice address
680 E ALOSTA AVE, SUITE 209, AZUSA, CA 91702-2705
(626) 812-9733
(626) 981-2974
Mailing address
680 E ALOSTA AVE, SUITE 209, AZUSA, CA 91702-2705
(626) 812-9733
(626) 981-2974
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/02/2014
Last updated
04/02/2014
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